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hich can be an effective and helpful score for making AF treatment decisions. Patients in maintenance hemodialysis (MHD) need a patent vascular access for optimal treatment. Autologous arteriovenous fistula (AVF) is the optimal vascular access for patients with MHD. However, AVF dysfunction may limit its use. The aim of this article is to explore the factors associated with primary dysfunction of AVF in patients with MHD. This is a retrospective study. A total of 121 patients who underwent anastomosis for AVF in our hospital from